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[i] Program
starting in July 2004
[ii] Program
recently started.
[iii] A
national prevalence rate of 390 per 100,000
children was used, which corresponds to
a national estimate of 285,000 children
with rheumatic diseases.
[iv] It
is important to note that the ratio in
Washington D.C. may be underestimated,
however, as some of these providers may
work at the National Institutes of Health
as researchers rather than patient care
providers.
[v] While
45 percent of survey pediatric rheumatology
units had only one pediatric rheumatologist,
55 percent had more than one. Thus, the
actually number of children seen per provider
will deviate from 443.
[vi] It should
be noted that the ABP file has either
a home address or work address for a physician,
depending on which one the physician reports.
It is possible that some of the pediatric
rheumatologists work in counties that
differ from their home address.
[vi] i Though
not board-certified, Kansas City, KS had
two pediatric rheumatologists who graduated
prior to 1987.
[vii] Visits
in which JRA was not listed as one of
the nine diagnoses were excluded from
this analysis.
[viii] It
is essential to note that visits to centers
with pediatric rheumatologists may have
involved a visit to another type of physician,
such as an ophthalmologist. Thus, the
percentage of visits to pediatric rheumatologists
may be overstated.
[ix] Our
2004 ACR data only includes pediatric
rheumatologists.
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